Ni Chleirigh Romy, Gray Simon, Mitchell Catherine C
Junior Clinical Fellow, Rosemere Cancer Centre, Lancashire Teaching Hospitals NHS Trust, Fulwood, Preston.
Foundation Doctor, Rosemere Cancer Centre, Lancashire Teaching Hospitals NHS Trust, Fulwood, Preston.
Br J Hosp Med (Lond). 2018 Jul 2;79(7):384-388. doi: 10.12968/hmed.2018.79.7.384.
In 2008, recommendations from the National Confidential Enquiry into Patient Outcome and Death identified large variations in the quality and safety of delivery of systemic anti-cancer therapy. In 49% of cases it was felt there was room for improvement and in 27% of cases treatment actually caused or hastened death. Every hospital with an emergency department and/or specialist oncology beds should therefore have a fully functioning acute oncology service to align acute oncology with urgent care. Many patients will still present via the acute take and therefore acute physicians need to be aware of the role of the acute oncology teams and management of oncology emergencies. This article discusses the role of the acute oncology team, management of acute oncology emergencies, namely neutropenic sepsis, metastatic spinal cord compression and superior vena cava obstruction, and important points for acute teams to consider.
2008年，全国患者预后与死亡保密调查的建议指出，全身抗癌治疗的质量和安全性存在很大差异。在49%的病例中，人们认为仍有改进空间，在27%的病例中，治疗实际上导致或加速了死亡。因此，每家设有急诊科和/或肿瘤专科病床的医院都应具备全面运作的急性肿瘤学服务，以使急性肿瘤学与紧急护理相协调。许多患者仍将通过急症收治入院，因此急症医生需要了解急性肿瘤学团队的作用以及肿瘤急症的管理。本文讨论了急性肿瘤学团队的作用、急性肿瘤急症（即中性粒细胞减少性脓毒症、转移性脊髓压迫和上腔静脉阻塞）的管理，以及急症团队需要考虑的要点。
